NPI 1205692530

Mykel Gaylene Rochester, BAPSYCHOLOGY

Practitioner Developmental Therapist Boise, ID

Practice location

Address: 5403 W Sites Dr, Boise, ID 83705-2660
Phone: (208) 713-7261

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Idaho →

Registry record

NPI: 1205692530
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2024
Record last updated: 23 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.